Fig. 6.1 is a simplified diagram representing a section through the human immunodeficiency virus (HIV) particle that causes HIV/AIDS. The diagram shows the virus particle about to attach to the cell surface membrane of a T-helper cell at a receptor protein called CD4. A second protein (coreceptor) called CCR5 is also necessary for the virus particle to enter and then infect the T-helper cell. [Figure 6.1]
- (a)Identify structure X in Fig. 6.1.[1]
- (b)Explain how the ability of the immune system to resist the damaging effects of a pathogen is affected by destruction of T-helper cells.[3]
- (c)Studies have shown that some individuals did not become infected with HIV even though they were repeatedly exposed to the virus. Later discoveries indicated that these individuals had a mutation in the gene for the CCR5 coreceptor protein. Suggest how mutation of the gene for the CCR5 coreceptor protein provided protection against HIV infection.[1]
- (d)The use of monoclonal antibodies against the CCR5 coreceptor protein (anti-CCR5) has been shown to be effective in the treatment of HIV infection. Outline how anti-CCR5 monoclonal antibodies can be synthesised in the laboratory using the hybridoma method.[3]
This question uses a diagram from the original paper, which isn't shown here. Open the full paper from the past papers archive to see it.
Mark scheme
Marking points from the official mark scheme (Feb/Mar 2024). The mark or mark type is shown in brackets.
- [1] 6(a) capsid; A capsomere or protein coat R protein / glycoprotein / caspid
- [3] 6(b) accept accounts based on primary and/or secondary immune response .
- fewer cytokines released ;
- and any two from:
- fewer plasma cells, so fewer antibodies produced ; A B lymphocytes
- fewer macrophages stimulated / less production of 'angry' macrophages / AW / less antigen presentation by macrophages ;
- fewer T-killer cells stimulated to divide / less T-killer cells / less infected cells killed (by T-killer cells) ;
- fewer memory cells (produced by the primary response);
- AVP;
- [1] 6(c) virus cannot enter the T-helper cell / CCR5 unable to trigger endocytosis of viral particle ;
- [3] 6(d) any three from:
- 1 (named) small mammal, injected / AW, with CCR5 ; A antigen
- 2 immune response occurs (over several weeks) ; A immune response described
- 3 plasma cells / B-lymphocytes / B-cells / splenocytes, extracted from spleen ;
- 4 plasma cells / B-lymphocytes / B-cells, fused with, myeloma / tumour / cancer / AW, cells (to form hybridomas) ;
- 5 screening / selection / AW, for hybridomas producing desired, (monoclonal) antibodies ;
- 6 AVP; e.g. hybridoma cells separated (into wells) to produce clones
- ref. to large scale production
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